Provider Demographics
NPI:1255199899
Name:BROKEN BETTER URGENT CARE LLC
Entity type:Organization
Organization Name:BROKEN BETTER URGENT CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-818-3932
Mailing Address - Street 1:735 CHERRY RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-3121
Mailing Address - Country:US
Mailing Address - Phone:803-818-3932
Mailing Address - Fax:844-729-6584
Practice Address - Street 1:2351 LEN PATTERSON RD STE 106
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-8259
Practice Address - Country:US
Practice Address - Phone:803-818-3932
Practice Address - Fax:844-729-6584
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROKEN BETTER URGENT CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-08
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care